Bottoming out implant after revision - is there something that can be done so it doesn’t happen again? (Photo)

I see you have what we call pseudoptosis on your left breast left greater than right.

This is probably my most common problem after breast lifts, and it usually occurs over years but can occur faster.

I will often suggest the use of mesh to help support the breast, and if the a patient is willing to go down in size that can be helpful.

Many times, revision with a graft (like galaflex or Durasorb) can prevent bottoming out. However, I’ve seen cases where the muscle is either released too much or naturally “window-shades” over time. This means that the muscle has pulled upwards and created a tight band above your implant, so every time you use your arm it pushes down on the implant. In this case, the only way to get the correct implant position is to convert to a pocket above the muscle, which has its own drawbacks. I recommend asking your original surgeon about the technique used during your revision. If a graft has already been used, it’s more likely that won’t work.